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新冠疫情公共卫生措施对痴呆患者及其照护者的情绪和心理健康的影响。

Emotional and Mental Wellbeing Following COVID-19 Public Health Measures on People Living With Dementia and Carers.

机构信息

Department of Primary Care & Mental Health, 4591University of Liverpool, Liverpool, UK.

Kerry Hanna and Clarissa Giebel are joint first authors.

出版信息

J Geriatr Psychiatry Neurol. 2022 May;35(3):344-352. doi: 10.1177/0891988721996816. Epub 2021 Feb 25.

Abstract

BACKGROUND

To date, there appears to be no evidence on the longer-term impacts caused by COVID-19 and its related public health restrictions on some of the most vulnerable in our societies. The aim of this research was to explore the change in impact of COVID-19 public health measures on the mental wellbeing of people living with dementia (PLWD) and unpaid carers.

METHOD

Semi-structured, follow-up telephone interviews were conducted with PLWD and unpaid carers between June and July 2020. Participants were asked about their experiences of accessing social support services during the pandemic, and the impact of restrictions on their daily lives.

RESULTS

20 interviews were conducted and thematically analyzed, which produced 3 primary themes concerning emotional responses and impact to mental health and wellbeing during the course of the pandemic: 1) Impact on mental health during lockdown, 2) Changes to mental health following easing of public health, and 3) The long-term effect of public health measures.

CONCLUSIONS

The findings from this research shed light on the longer-term psychological impacts of the UK Government's public health measures on PLWD and their carers. The loss of social support services was key in impacting this cohort mentally and emotionally, displaying a need for better psychological support, for both carers and PLWD.

摘要

背景

迄今为止,尚无证据表明 COVID-19 及其相关公共卫生限制措施对我们社会中一些最脆弱的人群会产生长期影响。本研究旨在探讨 COVID-19 公共卫生措施对痴呆症患者(PLWD)和无薪照顾者的心理健康的影响变化。

方法

在 2020 年 6 月至 7 月期间,对 PLWD 和无薪照顾者进行了半结构式的后续电话访谈。询问了参与者在大流行期间获得社会支持服务的经验,以及对他们日常生活的限制的影响。

结果

进行了 20 次访谈并进行了主题分析,产生了 3 个主要主题,涉及大流行期间的情绪反应和对心理健康和幸福感的影响:1)封锁期间对心理健康的影响,2)公共卫生措施放宽后对心理健康的变化,3)公共卫生措施的长期影响。

结论

本研究的结果揭示了英国政府的公共卫生措施对 PLWD 和他们的照顾者的长期心理影响。社会支持服务的丧失是对这一人群的心理和情感产生重大影响的关键因素,显示出照顾者和 PLWD 都需要更好的心理支持。

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